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Leiomyoma of esophagus
Simultaneous laparoscopic partial resection of stomach and fundoplication with cruroraphy
Автор: Puchkov K.V., Tishchenko E.S.
Simultaneous laparoscopic partial resection of stomach and fundoplication with cruroraphy.
Laparoscopic stage - Professor Puchkov K.V. is performing an operation (2017), endoscopic diagnostics- D-r Tishchenko E.S. is performing. Operation is performed for leiomyoma of the antral part of the stomach (2.5 cm at the distance of 3 cm from the pyloric part) and for hiatal hernia. In the video intraoperation gastroscopy is presented, with the marking of the resection area, then the technique of dissection of the area of the greater curvature of stomach by a 5 mm LigaSure MEDTRONIC COVIDIEN instrument is presented, as well. At the next stage resection of the stomach part is done by the linear stitching Endo GIA MEDTRONIC COVIDIEN apparatus in the transverse direction under the guidance of gastroscopy. .The preparation is placed into the plastic container and is removed from the abdominal cavity. Then mobilization of gastroesophageal isthmus is done by a 5 mm LigaSure instrument, then cruroraphy and bylateral partial fundoplication according to Toupet (270 g) with the help of interrupted intracorporeal sutures is performed. Operation duration is 1 hour 20 minutes.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic removal of multiple leiomyomas of esophagus and stomach
Автор: Puchkov K.V.
Laparoscopic removal of multiple leiomyomas of esophagus and stomach. Professor Puchkov K.V. is performing an operation (2015).
In this video the technique of removal of 2 formations of esophagus (leiomyomas-4 cm and 7 cm) without opening of the organ’s lumen by means of a monopolar electrode is presented. Leiomyoma in the cardial part of the stomach is removed by means of partial resection of the area of the wall with the help of a linear stitching Endo GIA MEDTRONIC COVIDIEN instrument. Mobilization of the gastroesophageal isthmus is done with the help of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. Esophageal wounds are closed by two--layer manual technique, using “Polysorb” 3-0 thread. At the final stage cruroraphy is performed. Leiomyoma nodes are removed from the abdominal cavity by means of electromechanical Rotocut G1 morcellation of Karl Storz Company.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
Laparoscopic resection of leiomyoma of esophagus and partial (270 g) fundoplication according to Toupet.
Автор: Puchkov K.V.
Laparoscopic resection of leiomyoma of esophagus and partial (270 g) fundoplication according to Toupet. Professor Puchkov K.V. is performing an operation (2014).
In this film the technique of removal of leiomyoma of esophagus -7 cm- without opening the lumen of the organ is presented. Simultaneously correction of hiatal hernia (7 cm) by means of laparoscopic way is done. Mobilization of gastroesophageal isthmus is done with the help of a 5 mm LigaSure MEDTRONIC COVIDIEN instrument. The operation is performed fast and without blood loss. Attention should be paid to the consecutive transection of the diaphragmaticoesophageal ligamemnts, as well as to fundodiaphragmatic ligaments, and to transection of short gastric vessels, using inferior access-beneath the esophagus. A special attention is paid to a careful cruroraphy and performing a partial fundoplication.
You can read about this technique in detail on the personal cite of Professor Puchkov Konstantin Viktorovich. To go to the link.
